| NPI | 1720893894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER IVORY Clinical Mental Health Therapist 248-973-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |